Goforth, Kelly

Goforth, Kelly is an individual health care provider with primary practice located at 4710 Champions Trace Ln Ste 107 , Louisville KY 40218-4490. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Goforth, Kelly can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
4710 Champions Trace Ln Ste 107 Louisville KY 40218-4490
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 105429 Kentucky

Profile Details

NPI number 1194858571
LBN Legal business name Goforth, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jun 3rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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